Organization
EBW DMD PLLC
Active
Other names
Great Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC WENDELSCHAFER DMD (DENTIST)
(480) 606-2630
Entity
Organization
Contact information
Practice address
14800 W MOUNTAIN VIEW BLVD STE 200, SURPRISE, AZ 85374-2703
(623) 933-5749
Mailing address
14800 W MOUNTAIN VIEW BLVD STE 200, SURPRISE, AZ 85374-2703
(623) 933-5749
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8491
AZ
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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